Individual
MRS. JACQUELINE KELLY CALDWELL
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PA-C, MPAS
Contact information
Practice address
1061 HARMON AVE, ATTN: TFCMC SUITE 1DO3, FT STEWART, GA 31314-5604
(912) 435-5595
Mailing address
60 SETTER LN, ALLENHURST, GA 31301-2653
Taxonomy
Speciality
Code
Description
License number
State
363AM0700X
Medical Physician Assistant
Primary
—
—
Other
Enumeration date
10/26/2005
Last updated
07/08/2007
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